| Lakewood Hospitalist Medical Group, Inc | |
|
3700 South St Lakewood CA 90712-1419 | |
| (310) 321-0143 | |
| (310) 379-4856 |
| Full Name | Lakewood Hospitalist Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 South St, Lakewood, California |
| Authorized Official Name and Position | Mark R Bell (PRESIDENT) |
| Authorized Official Contact | 3103210143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Hospitalist Medical Group, Inc 898 N Pacific Coast Hwy Ste 600 El Segundo CA 90245-2747 Ph: (310) 321-0143 | Lakewood Hospitalist Medical Group, Inc 3700 South St Lakewood CA 90712-1419 Ph: (310) 321-0143 |
| NPI Number | 1447003983 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 4981141496 |
|---|---|
| Medicare Enrollment ID | O20240801003355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447003983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Robert Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588607410 PECOS PAC ID: 0547248353 Enrollment ID: I20040715001257 |
| Provider Name | Irv Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568400513 PECOS PAC ID: 7810974912 Enrollment ID: I20041230000743 |
| Provider Name | Hemal Hareshbhai Kadakia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588686042 PECOS PAC ID: 3476579624 Enrollment ID: I20080529000930 |
| Provider Name | Scott A Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033140801 PECOS PAC ID: 5991840605 Enrollment ID: I20100305000599 |
| Provider Name | Adnan A Misellati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063654564 PECOS PAC ID: 1557414844 Enrollment ID: I20110831000290 |
| Provider Name | Parham Naghdechi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376701185 PECOS PAC ID: 5799947594 Enrollment ID: I20120424000042 |
| Provider Name | Sanaz Hashemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841558004 PECOS PAC ID: 8628207131 Enrollment ID: I20140203001686 |
| Provider Name | Prathima Charugundla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104118439 PECOS PAC ID: 2961628391 Enrollment ID: I20140721002414 |
| Provider Name | Samer H Moghaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275700478 PECOS PAC ID: 7618193749 Enrollment ID: I20140728000206 |
| Provider Name | Kevin C Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205214608 PECOS PAC ID: 3476860792 Enrollment ID: I20180409002200 |
| Provider Name | Saba Habis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497788905 PECOS PAC ID: 9234190315 Enrollment ID: I20180604002800 |
| Provider Name | Larisa Garbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811906753 PECOS PAC ID: 5193626158 Enrollment ID: I20191030001738 |
| Provider Name | Marinelle Camilon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023559259 PECOS PAC ID: 8123443835 Enrollment ID: I20200717001680 |
| Provider Name | Ghazal Kooshk Jalali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843571 PECOS PAC ID: 2466722103 Enrollment ID: I20201028003046 |
| Provider Name | Chang Sung Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568922649 PECOS PAC ID: 8022496991 Enrollment ID: I20220606000604 |
| Provider Name | Sarah H Youkhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275093924 PECOS PAC ID: 8022484930 Enrollment ID: I20221018002100 |
| Provider Name | Mohmad S Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962031955 PECOS PAC ID: 0941654156 Enrollment ID: I20230921002607 |
| Provider Name | Eric Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982282356 PECOS PAC ID: 8325587892 Enrollment ID: I20240828002172 |
| Provider Name | Galib Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215518782 PECOS PAC ID: 5698128791 Enrollment ID: I20240829004388 |
| Provider Name | Christopher Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568297943 PECOS PAC ID: 5991234056 Enrollment ID: I20250120000286 |
| Provider Name | Nabeel Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184079246 PECOS PAC ID: 7315276342 Enrollment ID: I20250211002666 |
| Provider Name | Soumya Kambalapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558935908 PECOS PAC ID: 0547660102 Enrollment ID: I20250221003225 |
| Provider Name | Nisa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275988339 PECOS PAC ID: 3779812714 Enrollment ID: I20250224003280 |
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